| Name: | Cahaba Dermatology & Skin Health Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 11 Dec 2012 (12 years ago) |
| Entity Number: | 000-057-543 |
| Register Number: | 000057543 |
| ZIP code: | 35244 |
| County: | Jefferson |
| Place of Formation: | Shelby County |
| Registered Office Street Address: | 2290 VALLEYDALE ROAD STE 204 BLDG #2BIRMINGHAM, AL 35244 |
Activities
DERMATOLOGY & SKIN HEALTH MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619213204 | 2012-12-31 | 2023-02-27 | 2279 VALLEYDALE RD STE 100, HOOVER, AL, 352442111, US | 2279 VALLEYDALE RD STE 100, HOOVER, AL, 352442111, US | |||||||||||||||||
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| Phone | +1 205-214-7546 |
Authorized person
| Name | DR. VLADA GROYSMAN |
| Role | PHYSICIAN |
| Phone | 2052147546 |
Taxonomy
| Taxonomy Code | 207ND0900X - Dermatopathology Physician |
| License Number | 28104 |
| State | AL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CAHABA DERMATOLOGY & SKIN HEALTH CENTER 401(K) PLAN | 2023 | 461551543 | 2024-02-07 | CAHABA DERMATOLOGY & SKIN HEALTH CENTER, LLC | 79 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-02-07 |
| Name of individual signing | JOEL DRUXMAN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 2052147546 |
| Plan sponsor’s address | 2279 VALLEYDALE RD., SUITE 100, HOOVER, AL, 35244 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-13 |
| Name of individual signing | JOEL DRUXMAN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 2052147546 |
| Plan sponsor’s address | 2279 VALLEYDALE RD., SUITE 100, HOOVER, AL, 35244 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-17 |
| Name of individual signing | JOEL DRUXMAN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 2052147546 |
| Plan sponsor’s address | 2279 VALLEYDALE RD., SUITE 100, HOOVER, AL, 35244 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-15 |
| Name of individual signing | JENNIFER HOWARD |
| Name | Role | Address |
|---|---|---|
| GROYSMAN, VLADA | Agent | 2290 VALLEYDALE ROAD STE 204 BLDG #2BIRMINGHAM, AL 35244 |
| Name | Role | Address |
|---|---|---|
| GROYSMAN, VLADA | Organizer | 2290 VALLEYDALE ROAD STE 204 BLDG #2BIRMINGHAM, AL 35244 |
| MARK, LADD W | Organizer | 420 NORTH 20TH STREET SUITE 3400BIRMINGHAM, AL 35203 |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
